Healthcare Provider Details

I. General information

NPI: 1821755331
Provider Name (Legal Business Name): SAHILY EVA ESCALAR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3677 CENTRAL AVE STE B
FORT MYERS FL
33901-8226
US

IV. Provider business mailing address

3677 CENTRAL AVE STE B
FORT MYERS FL
33901-8226
US

V. Phone/Fax

Practice location:
  • Phone: 239-900-4384
  • Fax:
Mailing address:
  • Phone: 239-900-4384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11016618
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: